MUNGOVAN CHIROPRACTIC PC NPI 1154533354

NPI Information

MUNGOVAN CHIROPRACTIC PC is a chiropractor in Fort Wayne, IN. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. MUNGOVAN CHIROPRACTIC PC NPI is 1154533354. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4705 ILLINOIS RD STE 102
FORT WAYNE, IN
ZIP 46804-108
Phone: (260) 447-1067
Fax: (260) 447-0827

The provider's authorized official is Michael Thomas Mungovan .
The authorized official title is Owner and has the following contact phone number (260) 447-1067.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 4/9/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.